Benign Prostatic Hyperplasia (BPH) Laser Enucleation Treatment in Germany
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University Hospital of Ludwig Maximilian University of Munich
Department of Adult and Pediatric Urology, Andrology
The Department of Adult and Pediatric Urology, Andrology offers the full range of services in the areas of its specialization. Men and boys with diseases of the reproductive system can be diagnosed and treated in the medical facility. Doctors also treat infertility and erectile dysfunction. Medical care is provided to men and women with diseases of the urinary system, namely kidneys, ureters, bladder, and urethra. The department is certified as the Prostate Cancer Center by the German Cancer Society (DKG), which indicates the excellent quality of the services provided in this area. The department's urologists have a perfect command of the innovative treatment methods, including holmium laser enucleation of the prostate (HoLEP), photodynamic therapy, and da Vinci robot-assisted surgery. The department employs comprehensively trained and experienced doctors who apply advanced medical achievements in their practice. Each patient is provided with an individual approach, considering their specific needs and wishes.
Department of Urology
The Department of Urology annually admits more than 790 patients with benign prostatic hyperplasia. Doctors perform the enucleation (natural anatomical removal) of the enlarged prostate with the help of unique equipment – a holmium laser. Specialists of the department under the guidance of Prof. Dr. med. H. Schuldes successfully practice the HoLEP technique in patients with all degrees of prostatic hyperplasia.
Department of Adult and Pediatric Urology
According to the Focus magazine, the Department of Adult and Pediatric Urology ranks among the top German departments specializing in prostate cancer treatment! The department offers the full range of diagnostics and treatment of the urinary system in men and boys. The department has a long history, rich traditions, and is also a recognized center of excellence in the treatment of all urological diseases. The department specializes in the treatment of malignant urological diseases, reconstructive surgery, pediatric urology, treatment of urinary tract dysfunction and kidney stone disease.
Department of Adult and Pediatric Urology
According to the Focus magazine, the Department of Adult and Pediatric Urology ranks among the top German departments specializing in prostate cancer treatment! The department offers the widest range of modern diagnostic and therapeutic methods for accurate detection and treatment of diseases of the genitourinary system in men and boys. The priority focus of the department is the treatment of prostate cancer (certification of the German Cancer Society).
Department of Adult and Pediatric Urology
According to the Focus magazine, the Department of Adult and Pediatric Urology ranks among the top German medical facilities specializing in prostate cancer treatment! The department has all the diagnostic and therapeutic options to provide first-class medical care for patients with diseases of the genitourinary system. The priority focus is reconstructive urology, in particular, the whole range of urethral surgery, procedures for the treatment of urinary incontinence (including artificial sphincter implantation, sling procedures), as well as penile surgery for congenital or acquired malformations, prosthetics in case of erectile dysfunction.
Department of Adult and Pediatric Urology
According to Focus magazine, the Department of Adult and Pediatric Urology ranks among the top German medical facilities specializing in the treatment of prostate cancer! The department offers the full range of diagnostics and treatment of diseases of the kidneys, urinary tract, as well as male reproductive organs in children and adults. The specialization covers the treatment of dysfunctions, acute injuries and inflammation, as well as the correction of complex malformations and treatment of cancers of the genitourinary system and male reproductive organs. Thanks to the unique competence of doctors, the department guarantees the highest standards of conservative and surgical treatment of urological pathologies.
Department of Adult and Pediatric Urology, Andrology
The Department of Adult and Pediatric Urology, Andrology offers the full range of diagnostic and therapeutic services for patients with diseases of the urinary system and for men with pathologies of the reproductive system. The team at the medical facility also admits children and adolescents with urologic diseases. The department has 62 beds for inpatient treatment. Therapeutic options include both conservative and surgical techniques. Many operations are performed using the innovative da Vinci surgical system. The department also successfully uses modern laser systems, including the GreenLight laser, a holmium laser, a thulium laser and the laser for water vapor thermal therapy. The key focus of the department's work is on cancer surgery for malignant diseases of the prostate, bladder, kidneys, and testicles. The department also specializes in the treatment of urinary incontinence and pediatric urologic pathologies. Prostate diseases are treated in a specialized center certified in accordance with the DIN EN ISO 9001 requirements.
Department of Adult and Pediatric Urology
The Department of Adult and Pediatric Urology offers all the options of modern medicine for men with diseases of the reproductive system, including boys, as well as women and men with pathologies of the urinary system. The department's doctors specialize in the treatment of prostate, penile, testicular, and epididymal cancers. Advanced techniques are available here to provide medical care to men with benign prostatic hyperplasia. Another important focus for the department's urologists is laser therapy for kidney stone disease. In the field of pediatric urology, the main attention is paid to the repair of congenital malformations of the urogenital system in boys. The department has state-of-the-art operating rooms with the necessary equipment for laparoscopic and robot-assisted interventions using the innovative da Vinci surgical system. Many interventions are performed on an outpatient basis without a mandatory hospital stay. More than 2,700 inpatients and about 2,450 outpatients are treated at the medical facility every year. A motivated and highly competent team of doctors and nursing staff takes care of the patients' health, successfully applying all resources and their professionalism to achieve the best treatment outcomes.
Department of Adult and Pediatric Urology, Andrology
The Department of Adult and Pediatric Urology, Andrology offers the full range of preventive, diagnostic and therapeutic services for men and women with urinary system diseases, as well as men with pathologies of the genital organs. The department also admits young patients with urological diseases. Particular attention is paid to the treatment of cancers: prostate cancer, bladder cancer, kidney cancer and testicular cancer. Each type of oncology is treated within a specialized center. To develop optimal individual treatment programs, the department regularly helds interdisciplinary tumor boards with the participation of doctors from related medical fields, including oncologists, radiologists, radiation therapists, chemotherapists, etc. The department actively uses the very latest surgical techniques, including robot-assisted surgery (Da Vinci Xi Surgical System). The department's urologists have an excellent reputation not only in Germany, but throughout Europe, so patients can count on top-class medical care based on the high professionalism of doctors and the use of the very latest therapeutic techniques.
Department of Adult and Pediatric Urology, Andrology
The Department of Adult and Pediatric Urology, Andrology offers the full range of therapeutic and diagnostic services in the fields of its competence. The department specializes in the treatment of any diseases of the urinary system and male reproductive organs. Of particular interest is the treatment of benign and malignant tumors of the prostate, testicles, penis, kidneys, adrenal glands, ureters and bladder. In addition, the department's competence includes medical care for men suffering from infertility and erectile dysfunction. The department also includes the Intensive Care Unit, which admits patients with acute and urgent conditions around the clock. The department has 46 beds for inpatient treatment. The doctors of the medical facility have long clinical experience and have a perfect command of the very latest treatment methods for urologic diseases in both adults and children. For example, one of the most advanced therapies used in the department is holmium laser enucleation of the prostate (HoLEP) for prostate adenoma removal. Each patient undergoing treatment in the department is provided with an individual approach and top-class medical service.
Department of Adult and Pediatric Urology
According to the reputable Focus magazine, the Department of Adult and Pediatric Urology ranks among the top German medical facilities specializing in prostate cancer treatment! The department's medical team offers the full range of diagnostic and therapeutic services for patients with urinary diseases and men with genital diseases. The department also deals with the treatment of young patients with urologic diseases. The primary focus of the department's clinical practice is the treatment of malignant tumors of the kidneys, bladder, prostate, testicles and penis. The department's doctors also have successful experience in the treatment of urinary incontinence in men and women. The department performs comprehensive diagnostics and microsurgical interventions to treat male infertility. In addition, the therapeutic options of the medical facility are complemented by the treatment of kidney stone disease, prostate adenoma and erectile dysfunction. The availability of high-tech operating rooms and modern medical equipment in the department allows providing effective treatment even in particularly complex clinical cases.
Department of Adult and Pediatric Urology, Andrology
According to the famous Focus magazine, the Department of Adult and Pediatric Urology, Andrology ranks among the best German medical facilities specializing in prostate cancer treatment! The department's urologists carry out modern diagnostics and treatment of all congenital and acquired diseases of the genitourinary tract, as well as of male genital organs. The department is certified as a Prostate Cancer Center and offers highly effective treatment of this pathology using the latest medical advances. The department's specialists also have unique experience in the treatment of benign and malignant tumors of the kidneys and bladder. In the field of pediatric urology, special attention is paid to the correction of congenital malformations of the genitourinary tract in young patients. The department's range of services is complemented by the diagnostics and treatment of male infertility, testosterone deficiency syndrome and erectile dysfunction. The medical facility enjoys an excellent reputation in its area of expertise throughout Germany. The doctors working in the department take care of both high quality of medical care and the maximum comfort of the patient during treatment, surrounding him with care and devoting enough time to personal communication.
Department of Adult and Pediatric Urology, Andrology
The Department of Adult and Pediatric Urology, Andrology provides the full range of medical services in its areas of specialization. The department offers medical care to women and men with diseases of the urinary system and men with pathologies of the reproductive system. The department's team of urologists also treats men with andrological diseases. They provide consultations, diagnosis, and treatment for erectile dysfunction, male infertility, and andropause (male menopause). The area of expertise of doctors also includes the treatment of urological diseases in children, in particular enuresis and genital malformations in boys. The specialists often treat oncological diseases, such as prostate cancer, testicular cancer, kidney cancer, and bladder cancer. Of particular interest is the treatment of benign prostatic hyperplasia using holmium laser enucleation (HoLEP). It is worth mentioning that the department is one of the leading medical facilities in Europe in the field of this procedure. Only 10 clinics in Germany offer HoLEP treatment, and the department's team of urologists is one of the most experienced in this field. The department's physicians focus on providing patients with individualized medical care in accordance with the requirements of the German Society of Urology (DGU) and the German Cancer Society (DKG).
Holmium laser enucleation, along with thulium laser enucleation, is the best method in urology for the treatment of benign prostatic hyperplasia (BPH) in terms of effectiveness and safety. Like surgery through abdominal incisions, the technique allows for the removal of the prostate of any size with a virtually zero risk of relapse. Like minimally invasive procedures, it is performed through the urethra with a relatively short recovery period. You are welcome to use the Booking Health service to find out the cost of treatment and make an appointment for your therapy in one of the German hospitals.
Content
- What is HoLEP for prostate adenoma?
- Success story: how HoLEP became the best procedure for the treatment of prostate adenoma?
- Who may be a candidate for HoLEP for the treatment of prostate adenoma?
- Advantages and disadvantages of HoLEP for prostate adenoma
- Safety of HoLEP for prostate adenoma
- Laser treatment in Germany for benign prostatic hyperplasia
Laser enucleation is a minimally invasive procedure for benign prostatic hyperplasia (BPH), using laser technology to remove excess prostate tissue and alleviate urinary symptoms.
It's more advanced and minimally invasive, allowing complete removal of obstructive tissue while preserving the prostate's outer shell, offering better long-term results for BPH treatment.
Treatment in Germany offers access to advanced medical technology, experienced surgeons, and high-quality care, potentially leading to better outcomes for this non-cancerous prostate condition.
The surgical procedure typically takes 60-120 minutes, depending on prostate size and the specific technique used.
Most patients return home within 1-2 days after treatment in Germany. Full recovery may take a few weeks, with significant improvement often seen within days.
Contact medical tourism facilitator Booking Health to coordinate your treatment in Germany, including hospital selection, appointments, and travel arrangements for the surgical procedure.
What is HoLEP for prostate adenoma?
HoLEP uses a holmium laser. It delivers radiation through flexible quartz fibers and has a wavelength of 2100-2140 nm with a penetration depth of 0.5 mm. The chromophore (absorbing substance) for this type of laser is water.
The shallow penetration depth ensures the safety of the procedure. Holmium laser enucleation of the prostate, HoLEP, is performed without thermal damage to the tissues surrounding the treatment area.
HoLEP is performed under general anesthesia. The procedure is performed through the urethra without any abdominal incisions. Doctors use a laser to dissect the tissue. In the original version of HoLEP, it starts with the excision of the prostate at 5 and 7 o'clock on the conventional dial. This is followed by the enucleation of the median lobe of the prostate gland. Today, doctors more often use a modified two-lobe enucleation technique. They excise the tissue, coagulate the blood vessels to stop bleeding, and then crush the resected tissue with a morcellator and remove it from the bladder.
Success story: how HoLEP became the best procedure for the treatment of prostate adenoma?
The holmium laser was first used for the treatment of benign prostatic hyperplasia (BPH) in 1994. However, at that time, the technique used was vaporization and incision, not enucleation, which allows for almost complete removal of the prostate. The HoLEP technique came about after the development of the mechanical morcellator. This is a tube into which prostatic tissue is sucked, crushed, and suctioned through the urethra to the outside environment.
Already in 1998, the results of the first HoLEP study in patients with a prostate volume of 75.5 ml were published. The same authors later published the results of a seven-year follow-up of patients, confirming the excellent long-term results of HoLEP treatment for benign prostatic hyperplasia.
In 2000, the results of a study comparing HoLEP with open adenomectomy, a conventional prostate removal surgery for prostate volumes greater than 100 ml (large prostate), were published. The treatment outcomes were similar, and the risk of complications was much lower in the HoLEP group.
In 2007, HoLEP was first proven to be superior to open surgery, and soon after, HoLEP was confirmed to be effective for prostate volumes greater than 200 mL. Since then, there is no longer a limit on the volume of benign hyperplasia for the HoLEP procedure in urology.
A comparison between HoLEP and TURP (transurethral resection of the prostate) showed that HoLEP provides better results. The risk of complications is the same. The duration of bladder catheterization, hospital stay, and temporary dysuria (urinary dysfunction) are shorter after TURP.
Who may be a candidate for HoLEP for the treatment of prostate adenoma?
Holmium laser enucleation can technically be performed on all patients, regardless of prostate size. In practice, however, the procedure is more commonly used in patients with a large prostate volume of more than 80 ml, while minimally invasive ablative procedures or TURP are used for prostates smaller than 80 ml.
The HoLEP procedure is considered more of an alternative to surgery through abdominal incisions than a replacement for TURP. By choosing HoLEP over surgery, patients can expect the same treatment outcomes, but with a more comfortable and shorter recovery and a lower risk of complications.
Advantages and disadvantages of HoLEP for prostate adenoma
With many advantages, HoLEP surgery has almost no disadvantages. This technique:
- Allows for the removal of prostatic hyperplasia (BPH) of any size
- Does not require any abdominal incisions
- Provides an effect at least as good as that of open surgery and TUR
- Provides good long-term results with virtually no risk of prostate adenoma recurrence (except in cases of incomplete removal)
- Offers a low risk of complications compared to conventional surgery
- Provides the same risk of complications as TURP, but HoLEP is more effective
- Minimal blood loss due to the instantaneous coagulation of blood vessels during laser dissection
The disadvantages of holmium laser enucleation for prostate adenoma are few and insignificant.
The procedure takes longer than TURP. However, as a result of its longer duration, the risk of TUR syndrome due to fluid absorption into the systemic bloodstream does not increase because the laser coagulates (closes) the blood vessels through which saline resorption occurs during tissue dissection.
Compared to TURP, patients require longer bladder catheterization and have longer hospital stays.
Safety of HoLEP for prostate adenoma
HoLEP provides a complete cure for even the most severe forms of benign prostatic hyperplasia (BPH) and is very safe. Most complications are short-term and resolve within 2-3 weeks.
The most common complication is transient (temporary) urinary incontinence, which develops in 11% of patients. The incidence of bladder neck sclerosis is 6% and urethral stricture is 1.3%, which is comparable or even lower compared to TURP. This is despite the fact that HoLEP is performed in more severe cases, usually when the prostate volume exceeds 80 ml.
The risk of serious complications is less than 1%. These include bleeding, infection, bladder injury, and the conversion of HoLEP to open surgery.
HoLEP causes retrograde ejaculation in most patients and may also impair erectile function. However, the risk of these complications is comparable to TURP and open surgery.
The safety of the surgical procedure is influenced by the experience of the surgeon. The lowest risk of complications is observed when the operation is performed by a surgeon who has performed at least 50 such surgical interventions.
Laser treatment in Germany for benign prostatic hyperplasia
You can have your treatment in Germany. Many German hospitals use the holmium laser to perform minimally invasive endoscopic enucleation for benign prostatic hyperplasia (BPH). By choosing treatment at leading urology centers, you can expect effective and safe surgical procedures performed by experienced surgeons.
You can find out the cost of treatment, compare prices, choose the most suitable German hospital, and make an appointment for your treatment in Germany through the Booking Health service. Our website presents the leading German hospitals that use HoLEP for the treatment of benign prostatic hyperplasia and achieve excellent results, as well as current prices for medical services.
Please leave your request on the Booking Health website to get advice from medical tourism specialists. We will select a German hospital for you, make an appointment for your therapy for your preferred dates, and take care of all the arrangements for your treatment in Germany. The cost of treatment in Germany for you will be lower than the usual prices when you seek medical help directly from a German hospital due to the absence of additional fees for foreign patients.
Authors:
The article was edited by medical experts, board certified doctors Dr. Nadezhda Ivanisova and Dr. Vadim Zhiliuk. For the treatment of the conditions referred to in the article, you must consult a doctor; the information in the article is not intended for self-medication!
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